MILDRED V DEBARGE

LAKE CHARLES, LA
NPI1154574796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  350)
Enumeration Date2008-10-28
Last Update Date2008-10-28
Business Address
Ms. MILDRED V DEBARGE LAC
1709 W PRIEN LAKE RD
LAKE CHARLES, LA 70601-8360
Phone number: 337-475-2557
Mailing Address
Ms. MILDRED V DEBARGE LAC
1709 W PRIEN LAKE RD
LAKE CHARLES, LA 70601-8360
Phone number: 337-475-2557